MEDICARE: SAYVA MEDICAL LIMITED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center		IL
2	261QP3300X	Pain Clinic/Center		IL

General Provider Information

NPI Number	:	1659552693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAYVA MEDICAL LIMITED

Provider Business Mailing Address
First Line	:	1322 S PRAIRIE AVE
Second Line	:	UNIT 1102
City	:	CHICAGO
State	:	IL
Zip	:	60605-3064
Country	:	US
Telephone Number	:	312-576-5264
Fax Number	:

Provider Business Practice Location Address
First Line	:	1322 S PRAIRIE AVE
Second Line	:	UNIT 1102
City	:	CHICAGO
State	:	IL
Zip	:	60605-3064
Country	:	US
Telephone Number	:	312-576-5264
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. BALJINDER SINGH BATHLA
Credential	:	M.D.
Telephone Number	:	312-576-5264

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	11/19/2007

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Directions to “SAYVA MEDICAL LIMITED ” Practice Location

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